Menurut FKUI (), fraktur adalah rusaknya dan terputusnya kontinuitas tulang . Klavikula adalah patah tulang pada tulang klavikula atau tulang selangka. Intra-articular Fractures By: Robert Shepherd MS, Certified Medical Illustrator, Vice President and Director of Eastern Region Operations. Fracture & Dislocation of ClaviculaFracture & Dislocation of Claviculadr Erwien Isparnadi oductionFractures of the clavicle are.
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Journal Reading Fraktur Clavicula Documents. However, closed reduction is considered the treatment of choice, especially if the patient presents within 24 hours. Published on Nov View 35 Download In order for joints to have the best chance of proper joint function after healing, physicians go to greater effort to make sure the bony surfaces are properly aligned and that the joint is properly immobilized than they would with a similar fracture that is extra-articular.
There is swelling and pain, especially with movement of the arm. Hendradi – Fraktur Clavicula Documents.
Fraktur Clavicula dan Fraktur Klaviukla Documents. It is also important to realize that a fracture needs not enter a joint to result in injury to the articular surfaces and begin the self-perpetuating post-traumatic breakdown of the joint surfaces post-traumatic arthritis.
Orto Fraktur Clavicula Sinistra Documents. Over the course of time, these injuries self-perpetuate and may necessitate arthroscopic debridement,chondroplastyor even joint replacement.
The following images show a lkavikula joint. Sjldent sekundr collum-fraktur Documents. Fraktur Clavicula dan Fraktur Costae Documents. With the exception of a meniscus, almost all moveable joints are similar to the knee joint in that the joints are lined with a thick, shock-absorbing articular cartilage adherent to smooth, bony surfaces that allow pain-free movement.
Arm immobilized in a sling at least two days for minor injuries or six weeks for klwvikula severe cases. Fraktur Clavicula Ppt Download Report.
Fraktur Intra Artikuler
Because of the abnormalities of the injured and healed joint surface, natural movement of the joint can also damage the articular cartilage of the opposing joint surface. Presentation fraktur distal radius, fraktur styloid ulna Fraotur.
LP fraktur clavicula 2. In addition, the AC Joint injury can occur as a result of the upward force on the long axis of the humerus in the fall with direct impact when the wrist in a straight position.
Fraktur Clavicula Ppt
Injeksi intra-artikuler Ruang Kuliah Ilmu Other projections of the clavicle may be performed after liaising with a radiographer, such an apical oblique view of the clavicle with the patient standing at 45 degrees toward the beam and the beam angled degrees TreatmentThe majority of clavicle fractures are treated non-operatively with good outcomes.
OTIntroductionFractures of the clavicle are common injuries accounting for between 2. Displaced lateral clavicle fractures are often treated operatively with conservative measures being associated with high rates of non-unionNon-operative treatment is generally used in those patients who are low demand, elderly or frailIn the case of a standard distal clavicle plate, three screws a minimum of two should be placed in the distal fragment to provide sufficient stabilityMedial end FractureBecause of the close proximity of the mediastinal structures, formal fixation is considered only in the event of marked displacement of the clavicle, with a risk to underlying structuresDislocationDislocation of Sternoclavicular joinDislocation of acromioklavikular AC jointSternoclavicular jointThe patient complained of mild to moderate pain, especially with movement of the upper limb.
Asuhan Keperawatan Fraktur Clavicula Documents. In order to appreciate why intra-articular fractures can be so problematic, a fundamental understanding of a typical joint is helpful. Fraktur Intra Artikuler Download Report.
Svigt af fiksation i caput femoris varusskred, Even with the best fracture alignment and joint immobilization, subtle disturbances in the joint surface and the natural bone reformation that take place during healing can result in uneven joint surfaces and injury to the overlying articular cartilage see the below illustration. This will reduce swelling and bleeding in the injured area. This forces the acromion process of the down, beneath the clavicle.
Sling figure of eight used after reduction for weeks to help the healing ligamentsternoklavikular SC joint anteriordilocationPatients with anterior dislocation usually complain of pain in the SC joint, which increases with movement of the arm; atraumatic cases have only mild symptomsAcromioclavicular dislocation AC Joint Injuries often occur as a result of a direct blow to the tip of the shoulder, such as a fall or a collision with another player during exercise.
No HARM protocol should also be applied – no heat, no alcohol, no running or activity, and no massage. Mid Shaft Clavicular FractureUndisplaced mid-shaft fractures are generally managed non-operatively.
Fraktur Clavicula Ppt
Usually the shoulders are in a position of adduction and flexionRockwood classificationSurgical options for joint instability acromioklavikular including 1 coracoklavikular ligament reconstruction with or without excision of the distal clavicle or 2 stabilization coracoklavikular with ligament reconstruction coracoklavikularHandling directly on soft tissue injury consists of a ricer protocol – rest, ice, compression, elevation and referral. Patients should also have a plain antero-posterior AP X-ray performed in the emergency department.
Head can be tilted toward the side of the joint is dislocated. As shown in the below illustrations, joint trauma without a diagnosable fracture of any type can injure the smooth, shock-absorbing articular cartilage, with or without microfractures llavikula the underlying bone.
While intra-articular fractures appear very similar to those that do not involve a joint space extra-articular fracturesintra-articular fractures are significantly more serious because they are associated with a much greater incidence of long-term complications.
Published on Sep View 43 Download A sack of sand or other cushioning placed between the shoulder then pulled shoulder lateral and ipsilateral arm in abduction position. In moderate sprains occur sternoclavicular joint subluxation. Traction lateral and medial end of the clavicle done is terelevasi forward fdaktur laterally. Measures such as an arm sling, analgesia and, in the case of mid shaft fractures, figure of eight bandage across the shoulders, often provide ample treatment.
Ligaments can be partially disrupted. Pertrochantr fraktur Definition Pertrochantr fraktur Together with a little swelling and pain during palpation, but instability was not found.